Provider Demographics
NPI:1932822467
Name:HAYES, GABRIELLE BEATRICE (LGSW)
Entity type:Individual
Prefix:MRS
First Name:GABRIELLE
Middle Name:BEATRICE
Last Name:HAYES
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:MRS
Other - First Name:GABRIELLE
Other - Middle Name:BEATRICE
Other - Last Name:GARZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:2214 BEVERLY PIKE
Mailing Address - Street 2:
Mailing Address - City:ELKINS
Mailing Address - State:WV
Mailing Address - Zip Code:26241
Mailing Address - Country:US
Mailing Address - Phone:304-553-7063
Mailing Address - Fax:
Practice Address - Street 1:2214 BEVERLY PIKE
Practice Address - Street 2:
Practice Address - City:ELKINS
Practice Address - State:WV
Practice Address - Zip Code:26241
Practice Address - Country:US
Practice Address - Phone:304-553-7063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-20
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVSW082216330104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVSW082216330OtherWV SOCIAL WORK BOARD